护理协议:初级医疗保健管理中的宏观和微观政策
Bruna Coelho1, Betina Hörner Schlindwein Meirelles1, Fernanda Karla Metelski2
1Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil.
Revista brasileira de enfermagem
|December 10, 2025
概括
护理协议是初级卫生保健 (PHC) 管理的关键,影响临床实践和加强医疗保健系统内的护理. 本研究探讨了它们的宏观和微观政治层面.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理科学 护理科学
- 公共卫生政策 公共卫生政策
背景情况:
- 初级卫生保健 (PHC) 依赖于有效的护理管理.
- 护理协议是标准化护理的重要工具.
- 了解议定书实施的政治背景至关重要.
研究的目的:
- 探索围绕在PHC使用护理协议的宏观和微观政治相互作用.
- 分析政治因素如何影响护理协议的实施和有效性.
主要方法:
- 使用构造主义立足理论进行定性研究.
- 与30名医疗保健专业人员 (2023-2024) 进行深入采访.
- 两阶段数据分析 (初始和集中编码) 以确定理论关系.
主要成果:
- 护理协议在PHC的复杂宏观和微观政治领域内运作.
- 关键主题包括机构合作伙伴关系,加强护理角色和评估PHC.
- 协议的有效性与基于证据的实践,审查,培训和工具使用 (例如,护理套件的实用方法) 有关.
结论:
- 护理协议超出了临床应用范围,包括政治层面.
- 有效地使用协议可以提高护理管理和临床实践.
- 协议对加强初级保健服务和护理专业作出了重大贡献.
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